<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Document</title>
</head>
<body>
    <form action="">
        <table>
            <caption><h3>大学生心理健康调查表</h3></caption>
            <tr>
                <td>姓名</td>
                <td><input type="text" required="required" name="xm"/></td>
            </tr>
            <tr>
                <td>性别</td>
                <td>
                    <label><input type="radio" checked="checked" name="sex"/>男</label>
                    <label><input type="radio" name="sex"/>女</label>
                </td>
            </tr>
            <tr>
                <td>邮箱</td>
                <td><input type="email" placeholder="请填写真实邮箱" name="email"/></td>
            </tr>
            <tr>
                <td>年龄</td>
                <td><input type="number" name="age"/></td>
            </tr>
            <tr>
                <td>籍贯</td>
                <td>
                    <select name="jiguan">
                    <option value="henan" checked="checked">河南</option>
                    <option value="beijing">北京</option>
                    <option value="shanghai">上海</option></select>
                </td>
            </tr>
            <tr>
                <td>出生日期</td>
                <td><input type="date" name="birthday"/></td>
            </tr>
            <tr>
                <td>上传身份证正反面</td>
                <td><input type="file" name="sfz" multiple/></td>
            </tr>
            <tr>
                <td><h3>多选题</h3></td>
                <td></td>
            </tr>
            <tr>
                <td>下列哪些因素属于危险性行为因素</td>
                <td>
                    <label><input type="checkbox" name="one"/>在过大压力下生活</label><br>
                    <label><input type="checkbox" name="one"/>吸烟</label><br>
                    <label><input type="checkbox" name="one"/>暴力</label><br>
                    <label><input type="checkbox" name="one"/>跑步</label><br>
                </td>
            </tr>
            <tr>
                <td></td>
                <td>简述大学生心理健康的标准<br>
                   <textarea name="wenda" cols="30" rows="5" placeholder="此处答题，字迹工整"></textarea></td>
            </tr>
            <tr>
                <td></td>
                <td><input type="checkbox" checked="checked"/>我承诺填写均为真实情况<a href="123.htnl">详细条款</a> </td>
            </tr>
            <tr>
                <td></td>
                <td>
                    <input type="image" src="image/btn.png">
                    <input type="reset" name="cz">
                </td>
            </tr>
        </table>
    </form>
</body>
</html>